Perinatal outcomes in singleton pregnancies with a single umbilical artery
| Autor: | Alberto Puertas-Prieto, Mariña Naveiro-Fuentes, María Paz Carrillo-Badillo, Jose Luis Gallo-Vallejo, Javier Malde-Conde |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Umbilical cord 03 medical and health sciences 0302 clinical medicine Pregnancy Fetal growth Medicine Humans 030212 general & internal medicine Cesarean delivery Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Single umbilical artery Obstetrics Singleton Isolated finding Pregnancy Outcome Obstetrics and Gynecology Gestational age Retrospective cohort study medicine.disease Single Umbilical Artery medicine.anatomical_structure Spain Pediatrics Perinatology and Child Health Female business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 29(10) |
| ISSN: | 1476-4954 |
| Popis: | Objective: To analyze perinatal outcomes in singleton pregnancies with a single umbilical artery (SUA) as an isolated finding with no other underlying disorders.Methods: This retrospective observational study compared a group of pregnancies with SUA (n = 127) and a group with a normal 3-vessel umbilical cord (n = 27 752). The study variables comprised maternal and obstetric characteristics and perinatal outcomes.Results: The frequency of SUA was 0.45%. Pregnancies with SUA ended more frequently with cesarean delivery, and had a higher risk that the indication for cesarean delivery was non-reassuring fetal heart rate (NRFHR). Neonates in the SUA group had a lower weight for gestational age, and a higher risk of low umbilical cord blood pH.Conclusion: Obstetricians should monitor fetal growth closely in pregnancies with SUA, and be alert to NRFHR during labor and delivery. |
| Databáze: | OpenAIRE |
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